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A deep learning model and human-machine fusion for prediction of EBV-associated gastric cancer from histopathology

Epstein–Barr virus-associated gastric cancer (EBVaGC) shows a robust response to immune checkpoint inhibitors. Therefore, a cost-efficient and accessible tool is needed for discriminating EBV status in patients with gastric cancer. Here we introduce a deep convolutional neural network called EBVNet...

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Autores principales: Zheng, Xueyi, Wang, Ruixuan, Zhang, Xinke, Sun, Yan, Zhang, Haohuan, Zhao, Zihan, Zheng, Yuanhang, Luo, Jing, Zhang, Jiangyu, Wu, Hongmei, Huang, Dan, Zhu, Wenbiao, Chen, Jianning, Cao, Qinghua, Zeng, Hong, Luo, Rongzhen, Li, Peng, Lan, Lilong, Yun, Jingping, Xie, Dan, Zheng, Wei-Shi, Luo, Junhang, Cai, Muyan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9120175/
https://www.ncbi.nlm.nih.gov/pubmed/35589792
http://dx.doi.org/10.1038/s41467-022-30459-5
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author Zheng, Xueyi
Wang, Ruixuan
Zhang, Xinke
Sun, Yan
Zhang, Haohuan
Zhao, Zihan
Zheng, Yuanhang
Luo, Jing
Zhang, Jiangyu
Wu, Hongmei
Huang, Dan
Zhu, Wenbiao
Chen, Jianning
Cao, Qinghua
Zeng, Hong
Luo, Rongzhen
Li, Peng
Lan, Lilong
Yun, Jingping
Xie, Dan
Zheng, Wei-Shi
Luo, Junhang
Cai, Muyan
author_facet Zheng, Xueyi
Wang, Ruixuan
Zhang, Xinke
Sun, Yan
Zhang, Haohuan
Zhao, Zihan
Zheng, Yuanhang
Luo, Jing
Zhang, Jiangyu
Wu, Hongmei
Huang, Dan
Zhu, Wenbiao
Chen, Jianning
Cao, Qinghua
Zeng, Hong
Luo, Rongzhen
Li, Peng
Lan, Lilong
Yun, Jingping
Xie, Dan
Zheng, Wei-Shi
Luo, Junhang
Cai, Muyan
author_sort Zheng, Xueyi
collection PubMed
description Epstein–Barr virus-associated gastric cancer (EBVaGC) shows a robust response to immune checkpoint inhibitors. Therefore, a cost-efficient and accessible tool is needed for discriminating EBV status in patients with gastric cancer. Here we introduce a deep convolutional neural network called EBVNet and its fusion with pathologists for predicting EBVaGC from histopathology. The EBVNet yields an averaged area under the receiver operating curve (AUROC) of 0.969 from the internal cross validation, an AUROC of 0.941 on an external dataset from multiple institutes and an AUROC of 0.895 on The Cancer Genome Atlas dataset. The human-machine fusion significantly improves the diagnostic performance of both the EBVNet and the pathologist. This finding suggests that our EBVNet could provide an innovative approach for the identification of EBVaGC and may help effectively select patients with gastric cancer for immunotherapy.
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spelling pubmed-91201752022-05-21 A deep learning model and human-machine fusion for prediction of EBV-associated gastric cancer from histopathology Zheng, Xueyi Wang, Ruixuan Zhang, Xinke Sun, Yan Zhang, Haohuan Zhao, Zihan Zheng, Yuanhang Luo, Jing Zhang, Jiangyu Wu, Hongmei Huang, Dan Zhu, Wenbiao Chen, Jianning Cao, Qinghua Zeng, Hong Luo, Rongzhen Li, Peng Lan, Lilong Yun, Jingping Xie, Dan Zheng, Wei-Shi Luo, Junhang Cai, Muyan Nat Commun Article Epstein–Barr virus-associated gastric cancer (EBVaGC) shows a robust response to immune checkpoint inhibitors. Therefore, a cost-efficient and accessible tool is needed for discriminating EBV status in patients with gastric cancer. Here we introduce a deep convolutional neural network called EBVNet and its fusion with pathologists for predicting EBVaGC from histopathology. The EBVNet yields an averaged area under the receiver operating curve (AUROC) of 0.969 from the internal cross validation, an AUROC of 0.941 on an external dataset from multiple institutes and an AUROC of 0.895 on The Cancer Genome Atlas dataset. The human-machine fusion significantly improves the diagnostic performance of both the EBVNet and the pathologist. This finding suggests that our EBVNet could provide an innovative approach for the identification of EBVaGC and may help effectively select patients with gastric cancer for immunotherapy. Nature Publishing Group UK 2022-05-19 /pmc/articles/PMC9120175/ /pubmed/35589792 http://dx.doi.org/10.1038/s41467-022-30459-5 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
Zheng, Xueyi
Wang, Ruixuan
Zhang, Xinke
Sun, Yan
Zhang, Haohuan
Zhao, Zihan
Zheng, Yuanhang
Luo, Jing
Zhang, Jiangyu
Wu, Hongmei
Huang, Dan
Zhu, Wenbiao
Chen, Jianning
Cao, Qinghua
Zeng, Hong
Luo, Rongzhen
Li, Peng
Lan, Lilong
Yun, Jingping
Xie, Dan
Zheng, Wei-Shi
Luo, Junhang
Cai, Muyan
A deep learning model and human-machine fusion for prediction of EBV-associated gastric cancer from histopathology
title A deep learning model and human-machine fusion for prediction of EBV-associated gastric cancer from histopathology
title_full A deep learning model and human-machine fusion for prediction of EBV-associated gastric cancer from histopathology
title_fullStr A deep learning model and human-machine fusion for prediction of EBV-associated gastric cancer from histopathology
title_full_unstemmed A deep learning model and human-machine fusion for prediction of EBV-associated gastric cancer from histopathology
title_short A deep learning model and human-machine fusion for prediction of EBV-associated gastric cancer from histopathology
title_sort deep learning model and human-machine fusion for prediction of ebv-associated gastric cancer from histopathology
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9120175/
https://www.ncbi.nlm.nih.gov/pubmed/35589792
http://dx.doi.org/10.1038/s41467-022-30459-5
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